MS. DEBRA A BROUGHMAN (NPI# 1831226216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831226216 |
| Entity Type | Individual |
| Full Name | MS. DEBRA A BROUGHMAN |
| Credential | LMSW, CAADC |
| Practice Address |
1530 Nichols Rd Kalamazoo MI 49006-2065 |
| Mailing Address |
300 68th St Se Grand Rapids MI 49548-6927 |
| Practice Telephone | 2693436700 |
| Mailing Telephone | 2692735000 |
| Mailing Fax Number | 2692738019 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801087888 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1708146 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 210 S Main Street, Three Rivers, MI 49093 | 2692735000 | 2692738019 |
| 300 68th St Se, Grand Rapids, MI 495486927 | 8006785500 |
| Street Address |
1530 NICHOLS RD |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49006-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669414082 | Judith Elaine Dean | Psychologist | 1530 Nichols Rd, Kalamazoo, MI 49006-2065 | 2006-06-11 |
| 1114295201 | Krista Matthews | Counselor | 1530 Nichols Rd, Kalamazoo, MI 49006-2065 | 2011-12-05 |
| 1467676452 | Brenda Kay Magierka | Counselor | 1530 Nichols Rd, Kalamazoo, MI 49006-2065 | 2007-04-12 |
| 1124119326 | Mary Rebecca Schmitt | Social Worker | 1530 Nichols Rd, Kalamazoo, MI 49006-2065 | 2006-09-27 |
| 1659462729 | Shannon Lynn Thompson | Social Worker | 1530 Nichols Rd, Kalamazoo, MI 49006-2065 | 2006-09-27 |
| 1992896195 | Case Schipper | Social Worker | 1530 Nichols Rd, Kalamazoo, MI 49006-2065 | 2006-09-27 |
| 1063520393 | Hyomyeong Rhiew | Psychiatry & Neurology | 1530 Nichols Rd, Kalamazoo, MI 49006-2065 | 2006-08-27 |
| 1093726234 | Pine Rest Christian Mental Health Services | Psychologist | 1530 Nichols Rd, Kalamazoo, MI 49006-2065 | 2006-08-11 |
| 1881608180 | David Wallace Stoepker | Psychologist | 1530 Nichols Rd, Kalamazoo, MI 49006-2065 | 2006-07-29 |
| 1437172244 | Chetan Vyas | Psychiatry & Neurology | 1530 Nichols Rd, Kalamazoo, MI 49006-2065 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 1588055768 | Rashida Al-gharib | Counselor | 10107 Boswell Lane, Kalamazoo, MI 49006 | 2015-02-10 |
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| 1609207695 | Karen Irene Zantjer | Occupational Therapist | 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 | 2013-12-02 |
| 1629313614 | Jessica Korneder | Behavioral Analyst | 3621 Kenbrooke Court, Kalamazoo, MI 49006 | 2012-12-03 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1932356979 | Joy Ann Mcgrath | Occupational Therapist | 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 | 2008-08-21 |
| 1306901103 | Frederick G Greaves | Psychologist | 4031 W Main, Kalamazoo, MI 49006 | 2006-12-22 |
| 1629162300 | John F Hemmer | Social Worker | 1530 Nichols Road, Kalamazoo, MI 49006 | 2006-10-03 |
| Find all providers in zip 49006 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264808 | January Haulenbeek | Social Worker | 10093 W P Ave, Kalamazoo, MI 49009-4405 | 2020-10-27 |
| 1932716198 | Brittany Nicole Mcneil | Social Worker | 350 E Michigan Ave Ste 20, Kalamazoo, MI 49007-3848 | 2020-09-30 |
| 1437775145 | Christina Thomason, Pllc | Social Worker | 3315 Greenleaf Blvd, Kalamazoo, MI 49008-2516 | 2020-06-18 |
| 1306468293 | Heather M Kozar | Social Worker | 5765 Sandalwood Dr Apt 3a, Kalamazoo, MI 49048-6608 | 2020-05-13 |
| 1447879747 | Emilie Morgan Musialczyk | Social Worker | 2901 E Kilgore Rd, Kalamazoo, MI 49001-5508 | 2020-04-16 |
| 1033756911 | Julie Marie Cooper-mcninch | Social Worker | 601 John St Ste M-005, Kalamazoo, MI 49007-5381 | 2019-12-10 |
| 1053953075 | Elizabeth Dahlinger Mcgiffin | Social Worker | 7520 Haflinger Cir, Kalamazoo, MI 49009-3918 | 2019-10-10 |
| 1205478443 | James Lewis Whalen | Social Worker | 129 Edgemoor Ave, Kalamazoo, MI 49001-4201 | 2019-10-09 |
| 1871051698 | Lesa Brenner-french | Social Worker | 3054 S 9th St Ste B, Kalamazoo, MI 49009-6250 | 2019-03-11 |
| 1407385230 | Kmf Counseling LLC | Social Worker | 307 Pratt Rd, Kalamazoo, MI 49001-5318 | 2017-06-06 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.